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General NPI Number Information
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NPI Number | 1902121544
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Entity Type | Individual
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Provider Name | TED LING M.D., M.S.
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Gender | Male
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Dates
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Enumeration Date | 04/06/2010
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Last Update Date | 07/09/2024
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Provider Practice Location Address
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Address Line | 77840 FLORA RD
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City | PALM DESERT
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State | CA
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Zip | 92211-4109
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Country | US
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Telephone | 760-200-8777
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Fax | 760-200-8877
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Provider Business Mailing Address
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Address Line | 2160 COLONIAL BLVD ATTN: PAYER CONTRACTING & RELATIONS
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City | FORT MYERS
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State | FL
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Zip | 33907-1410
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Country | US
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Telephone | 239-931-7342
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Fax | 239-931-7385
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | A117954
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 4301512517
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License Number State | MI
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